person
Shannon Dale Bailey, MA,LCADC,CCS
Addiction (Substance Use Disorder) Counselor in Georgetown, Kentucky
NPI 1073881744

Shannon Dale Bailey is an Addiction (Substance Use Disorder) Counselor based in Georgetown, KY and is specialized in Addiction (Substance Use Disorder). Shannon Dale Bailey practices in Georgetown, KY and has the professional credentials of MA,LCADC,CCS. The NPI Number for Shannon Dale Bailey is 1073881744 and holds a License No. 168771 (Kentucky).

The current practice location address for Shannon Dale Bailey is 105 Eastside Dr, Georgetown, KY and can be reached out via phone at 502-866-0664 and via fax at 502-866-0666.

Location: 105 Eastside Dr, Georgetown, KY, 40324-9797
person
Provider Profile Details
NPI Number
1073881744
Provider Name
Shannon Dale Bailey
Credential
MA,LCADC,CCS
Provider Entity Type
Individual
Gender
Female
Address
105 Eastside Dr, Georgetown, KY, 40324-9797
Phone Number
502-866-0664
Fax Number
502-866-0666
Provider Enumeration Date
12/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
168771 01 KY LCADC
80236 05 KY
institution
Provider Business Practice Location Address Details
Address
105 Eastside Dr
City
State
Zip
40324-9797
Phone Number
502-866-0664
Fax Number
502-866-0666
person
Provider Business Mailing Address Details
Address
105 Eastside Dr
City
State
Zip
40324-9797
Phone Number
502-866-0664
Fax Number
502-866-0666
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
168771 (Kentucky)
Definition
Definition to come...
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